MEDICARE: ALLISON KLEIN FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	APN.0996824-NP	CO

General Provider Information

NPI Number	:	1669145413
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLISON KLEIN FNP

Provider Business Mailing Address
First Line	:	8350 COLORADO BLVD UNIT 160
Second Line	:
City	:	FIRESTONE
State	:	CO
Zip	:	80504-6803
Country	:	US
Telephone Number	:	303-689-5160
Fax Number	:

Provider Business Practice Location Address
First Line	:	8350 COLORADO BLVD UNIT 160
Second Line	:
City	:	FIRESTONE
State	:	CO
Zip	:	80504-6803
Country	:	US
Telephone Number	:	303-689-5160
Fax Number	:	303-689-5175

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/28/2021
Last Update Date	:	09/28/2023

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